%0 Journal Article %T In vivo-stable bis-iminobiotin for targeted radionuclide delivery with the mutant streptavidin. %A Tatsumi T %A Zhao S %A Kasahara A %A Aoki M %A Nishijima KI %A Ukon N %A Kodama T %A Takahashi K %A Sugiyama A %A Washiyama K %A Yamatsugu K %A Kanai M %J Bioorg Med Chem Lett %V 108 %N 0 %D 2024 Aug 1 %M 38777280 %F 2.94 %R 10.1016/j.bmcl.2024.129803 %X Targeted delivery of radionuclides to tumors is significant in theranostics applications for precision medicine. Pre-targeting, in which a tumor-targeting vehicle and a radionuclide-loaded effector small molecule are administered separately, holds promise since it can reduce unnecessary internal radiation exposure of healthy cells and can minimize radiation decay. The success of the pre-targeting delivery requires an in vivo-stable tumor-targeting vehicle selectively binding to tumor antigens and an in vivo-stable small molecule effector selectively binding to the vehicle accumulated on the tumor. We previously reported a drug delivery system composed of a low-immunogenic streptavidin with weakened affinity to endogenous biotin and a bis-iminobiotin with high affinity to the engineered streptavidin. It was, however, unknown whether the bis-iminobiotin is stable in vivo when administered alone for the pre-targeting applications. Here we report a new in vivo-stable bis-iminobiotin derivative. The keys to success were the identification of the degradation site of the original bis-iminobiotin treated with mouse plasma and the structural modification of the degradation site. We disclosed the successful pre-targeting delivery of astatine-211 (211At), α-particle emitter, to the CEACAM5-positive tumor in xenograft mouse models.